Richard J Datka (NPI# 1699194472, PAC ID# 3779815345) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1699194472 |
| PAC ID by PECOS | 3779815345 |
| Professional Enrollment ID | I20191031000932 |
| Full Name | Richard J Datka |
| Organization Legal Name | THEDACARE INCORPORATED |
| Address |
2600 S Heritage Woods Dr Appleton WI 54915-1408 |
| Phone Number | 9202257720 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759294887 |
| Number of Group Practice Members | 478 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | 9202257720 | THEDACARE INCORPORATED |
| Organization Legal Name | THEDACARE INCORPORATED |
| Physicians | 485 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew J Kubisch | Physician Assistant | Thedacare Incorporated | 1405 Mill St, New London, WI 54961-2155 |
| Anna L King | Physician Assistant | Thedacare Incorporated | 1818 N Meade St Room, N255, Appleton, WI 54911-3454 |
| Roger B Collins | Orthopedic Surgery | Thedacare Incorporated | 130 2nd St, Neenah, WI 54956-2883 |
| Jennifer E Szmanda | Pediatric Medicine | Thedacare Incorporated | 640 Deerwood Ave, Neenah, WI 54956-7110 |
| Elizabeth A Barthel | Nurse Practitioner | Thedacare Incorporated | 2500 E Capitol Dr, Fl 2, Appleton, WI 54911-8735 |
| Carmen L Miller | Nurse Practitioner | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Kathleen M Erdahl | Nurse Practitioner | Thedacare Incorporated | 1000 W Northland Ave, Appleton, WI 54914-1419 |
| Jennifer L Kohnke | Nurse Practitioner | Thedacare Incorporated | 670 Country Rd A, Green Lake, WI 54941-8608 |
| Taylor B Doberstein | Rheumatology | Thedacare Incorporated | 200 Theda Clark Medical Plaza, Suite 350, Neenah, WI 54956-2790 |
| Rachel A Savage | Nurse Practitioner | Thedacare Incorporated | 400 S Maple St, Black Creek, WI 54106-9787 |
| Street Address |
2600 S HERITAGE WOODS DR |
| City | APPLETON |
| State | WI |
| Zip | 54915-1408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia H Trzebiatowski | Nurse Practitioner | Thedacare Incorporated | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 |
| Sarah A Truesdale | Nurse Practitioner | Thedacare Incorporated | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 |
| Ellen T Wenberg | Family Medicine | Thedacare Incorporated | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 |
| Rosanna Ranieri | Nephrology | Thedacare Incorporated | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 |
| Michael L Mitchell | Nurse Practitioner | Thedacare Incorporated | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 |
| Cathleen L Zerbe | Nurse Practitioner | Thedacare Incorporated | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 |
| Maryam Shittu | Internal Medicine | Thedacare Incorporated | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 |
| Dawn R Kempen | Nurse Practitioner | Thedacare Incorporated | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 |
| Michelle M Hermes | Nurse Practitioner | Thedacare Incorporated | 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Friday | Nurse Practitioner | Apple Medical Clinic Sc | 2000 S Memorial Dr, Suite 201, Appleton, WI 54915-1237 |
| Michael L Johnson | Chiropractic | Apple Medical Clinic Sc | 2000 S Memorial Dr, Suite 201, Appleton, WI 54915-1237 |
| Carl M Williams | Critical Care (intensivists) | Ascension Medical Group-fox Valley Wisconsin, Inc | 1506 S Oneida St, Appleton, WI 54915-1305 |
| Richard L Erdman | Emergency Medicine | Ihc-wound Care Services LLC | 1506 Oneida St S, Appleton, WI 54915-1305 |
| Alicia M Schumacher | Nurse Practitioner | Ascension Ne Wisconsin, Inc | 1506 S Oneida St, Appleton, WI 54915-1305 |
| Efe M Akpoigbe | Hospitalist | Ascension Medical Group-fox Valley Wisconsin, Inc | 1506 S Oneida St, Appleton, WI 54915-1305 |
| Debra L Franciosi | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 1506 S Oneida St, Appleton, WI 54915-1305 |
| Bradley C Heraly | Internal Medicine | Ascension Ne Wisconsin, Inc | 1506 S Oneida St, Appleton, WI 54915-1305 |
| Mark W Faustich | Obstetrics/gynecology | Ascension Medical Group-fox Valley Wisconsin, Inc | 1506 S Oneida St, Appleton, WI 54915-1305 |
| Kathleen A Clarke | Psychologist, Clinical | Ascension Ne Wisconsin, Inc | 1506 S Oneida St, Appleton, WI 54915-1305 |
| Find all physicians in zip 54915 | |||
| City | APPLETON |
| Zip Code | 54915 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | APPLETON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Richard J Datka.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.